UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 10-K/A
Amendment No. 1
AMENDMENT TO APPLICATION OR REPORT
Filed pursuant to Section 12, 13 or 15(d) of
The Securities Exchange Act of 1934
For the Fiscal Year Ended December 31, 1996
COMMISSION FILE NO. 1-14350
MONEYGRAM PAYMENT SYSTEMS, INC.
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(Exact name of Registrant as specified in its charter)
Delaware 84-1327808
(State or Other Jurisdiction (I.R.S. Employer
of Incorporation or Organization) Identification No.)
7401 W. Mansfield Ave.
Lakewood, CO 80235 303-716-6800
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(Address of principal executive (Registrant's telephone
offices) (Zip Code) number including area code)
The undersigned registrant hereby amends the following item of its Annual Report
on Form 10-K for fiscal year ended December 31, 1996 to include the pages
attached hereto and Exhibit 27 therein.
(List of such items, financial statements, exhibits or other portions amended.)
ITEM 14. (EXHIBITS, FINANCIAL STATEMENT SCHEDULES, AND REPORTS ON FORM 8-K) is
hereby amended by the deletion of such Item in its entirety and the inclusion of
the text attached hereto in replacement thereof.
ITEM 14. EXHIBITS, FINANCIAL STATEMENT SCHEDULES, AND REPORTS ON FORM 8-K.
(a) (1) Index to Financial Statements:
The Financial Statements and the notes thereto, together with the
report thereon of Ernst & Young LLP, dated March 14, 1997, appear on
pages 16 through 28 of this Report. Financial statement schedules not
included in this Report have been omitted because they are not
applicable or the required information is shown on the Financial
Statements or notes thereto.
(a) (2) Financial Statement Schedules:
None
(a) (3) Exhibits:
The following exhibits are filed as part of this Annual Report or,
where indicated, were heretofore filed and are hereby incorporated by
reference.
2.1 Contribution Agreement, dated as of December 10, 1996, among the
Company, IPS and First Data.
3.1 Certificate of Incorporation of the Company, as amended to date
(incorporated herein by reference to Exhibit 3.1 of the Company's
Registration Statement No. 333-228).
3.2 By-laws of the Company (incorporated by reference to Exhibit 3.2 to the
Company's Registration Statement No. 333-228).
10.1 Operations Agreement, dated as of December 10, 1996, among the Company,
IPS and First Data Technologies, Inc.
10.2 Software License Agreement, dated as of December 10, 1996, between the
Company and IPS.
10.3 Service Mark Letter Agreement, dated as of December 10, 1996, among
Western Union Financial Services, Inc., First Data and the Company
which includes the Service Mark License Agreement among such parties as
an exhibit thereto.
10.4 Human Resources Agreement, dated as of December 10, 1996, among the
Company, IPS and First Data.
10.5 Telecommunications Services Sharing Agreement, dated as of December 10,
1996, between the Company and First Data.
10.6 Agreement among American Express Travel Related Services Company, Inc.,
Banamex and California Commerce Bank, as amended (subject to a request
for confidential treatment pursuant to Rule 406 of the Securities Act)
(incorporated by reference to Exhibit 10.7 to the Company's
Registration Statement No. 333-228).
10.7 1996 Stock Option Plan of the Company.
10.8 1996 Broad-Based Stock Option Plan.
10.9 Lease Agreement between the Company and the Mutual Life Insurance
Company of New York in respect of certain facilities located in
Lakewood, Colorado (incorporated by reference to Exhibit 10.10 the
Company's Registration Statement No. 333-228).
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10.10 Short-Term Working Capital Facility, dated as of December 10, 1996,
between First Data and the Company.
10.11 Letter Agreement between the Company and Western Union regarding
Banamex (incorporated by reference to Exhibit 10.12 to the Company's
Registration Statement No. 333-228).
23.1 Consent of Independent Auditors
27. Financial Data Schedule
(b)(1) Reports on Form 8-K:
None
Signatures
Pursuant to the requirements of the Securities Exchange Act of 1934, the
registrant had duly caused this report to be signed on its behalf by the
undersigned, thereunto duly authorized.
MONEYGRAM PAYMENT SYSTEMS, INC.
By: /s/ John M. Fowler
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John M. Fowler
Director, Executive Vice President and
Chief Financial Officer
(Principal Financial and Accounting Officer)
Date: April 15, 1996
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